I have read and understood the
General Terms of Business (GTB) and hereby confirm that I agree with them.
I acknowledge that off-label use of medicinal products may occur in the course of my treatment if there is no satisfactory therapeutic solution for the patient concerned with a preparation already approved for the indication, dosage and use.
According to the Swiss Academy of Medical Sciences (SAMS), off-label use is defined as follows:
"The use of a ready-to-use medicinal product that is authorized in Switzerland or in a country with comparable medicinal product control and whose use deviates from the expert information approved by the competent authorities. This concerns indications, application options, dosage, type of application or the application itself to certain patient groups."
Off-label use can only be used if the medical professional treating me has provided me with comprehensive information (about the expected benefits, risks, etc.) and I have given my written consent to the off-label use of medicinal products tailored to my needs.
Finally, I hereby acknowledge that the off-label use of medicinal products is not automatically covered by compulsory health insurance.
I hereby confirm that I agree to the processing of my data, access to the data by the physician and the transfer of the data to third parties in accordance with the patient information on the following page.
I am aware of possible risks of data exchange of particularly sensitive personal data (possible access by unauthorised third parties in case of insecure communication channels) as well as my rights and give my consent to the mutual contact between my doctor and me as a patient through the contact information given above. Patient information will be shared by the physician's office only through secure communication channels. I agree that administrative requests such as rescheduling appointments will be made using unencrypted e-mail communication (to recipient addresses such as @bluewin.ch, @gmail.com, etc.).
The Swiss Federal Health Insurance Act (KVG) stipulates that patients receive a copy of the medical bill.
The treatment at Privatarztpraxis Rolandas Janušas OREME follows Swiss law and in the event of a legal dispute, I accept that all legal correspondence would be submitted to the court of CH 9100 Herisau AR, Switzerland. Swiss law would be effective.
Patient information on the handling of personal data
In the following, we inform you about the purpose for which the above-mentioned medical practice (hereinafter referred to as medical practice) collects, stores or forwards your personal data. In addition, we inform you about your rights, which you can exercise within the framework of data protection.
Responsibilities
The responsible party for the processing of your personal data and in particular your health data is the medical practice. If you have any questions regarding data protection or if you wish to exercise your rights within the framework of data protection, please contact the practice staff or your doctor directly.
Collection and purpose of data processing
The processing (collection, storage, use and retention) of your data is based on the treatment contract and legal requirements for the fulfillment of the purpose of treatment and the associated obligations. On the one hand, data is collected by the treating physician in the course of your treatment. On the other hand, we also receive data from other physicians and health care professionals with whom you have been or are currently receiving treatment, if you have given your consent for this. In your medical history, only data related to your medical treatment will be processed. The medical history includes the personal information provided on the patient form, such as personal details, contact details and insurance details, as well as, among other things, the educational interview conducted as part of the treatment, collected health data such as medical histories, diagnoses, therapy proposals and findings.
Duration of retention
Your medical history will be retained for 20 years after your last treatment. After that, with your express consent, it will be retained or securely deleted or destroyed.
Transfer of data
We will only transfer your personal data, and in particular your medical data, to external third parties if this is permitted or required by law, or if you have consented to the transfer of data as part of your treatment.
The transfer of data to cantonal and national authorities (e.g. cantonal medical service, health departments, etc.) is based on legal reporting requirements.
Optional: The forwarding of the necessary patient and invoice data to the collection agency takes place for the purpose of collection (collection of due monetary claims).
In individual cases, depending on your treatment and your corresponding consent, data will be transferred to other authorized recipients (e.g. laboratories, other physicians).
Revocation of your consent
If you have given your express consent for data processing, you may revoke an already given consent in whole or in part at any time. The revocation or the wish to change a consent must be made in writing. As soon as we have received your written revocation and the processing cannot be based on any other legal basis than the consent, the processing will be stopped. The legality of the data processing carried out until the revocation remains unaffected by the revocation.
Information, inspection and release
You have the right to obtain information about your personal data at any time. You can inspect your medical history or request a copy. The issuance of the copy may be subject to a fee. You will be informed in advance of any costs, which will depend on the time and effort required to make the copy.
Right to data transfer
You have the right to have data that we process automatically or digitally handed over to you or to a third party in a common, machine-readable format. This applies in particular to the transfer of medical data to a health professional of your choice. If you request that the data be transferred directly to another responsible party, this will only be done insofar as it is technically feasible.
Correction of your data
If you discover or believe that your data is incorrect or incomplete, you have the option of requesting a correction. If neither the correctness nor the incompleteness of your data can be established, you have the option of attaching a denial notice.
